LEAH PEDERSON OTR/L
NPI 1851648885
Occupational Therapist in Moose Lake, MN

Active since August 09, 2012Accepts Medicare Assignment
4791 COUNTY ROAD 10 STE 102, MOOSE LAKE, MN 55767(218) 485-2020(218) 485-2044 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2024, Sep 4, 2024 (2 updates tracked since 2024).

About Leah Pederson Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH PEDERSON OTR/L (NPI 1851648885) is an individual occupational therapist in Moose Lake, Minnesota, licensed in Minnesota (104218) and active in the NPI registry since August 2012. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1851648885
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameLEAH PEDERSONCredential: OTR/L
Location Address4791 COUNTY ROAD 10 STE 102Moose Lake, MN 55767-9221
Mailing Address1939 Minnehaha Ave W Ste 300Saint Paul, MN 55104-1033 · (651) 748-4338 · Fax (651) 748-2892
Fax(218) 485-2044
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 9, 2012
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1851648885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MN · 104218
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
4791 COUNTY ROAD 10 STE 102, Moose Lake, MN 55767

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leah Pederson Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921549494
PECOS Enrollment IDI20240924002946

Medicare Billing Reassignment

Medicare enrollment records show Leah Pederson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1939 MINNEHAHA AVE W STE 100
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 141 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Physical Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Physical Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Occupational Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Massage Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Physical Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Speech-Language Pathologist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767
Massage Therapist
4791 COUNTY ROAD 10 STE 102
MOOSE LAKE, MN 55767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Pederson's NPI number?

The NPI number for Leah Pederson is 1851648885. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Leah Pederson located?

Leah Pederson practices at 4791 County Road 10 Ste 102, Moose Lake, MN 55767. The listed phone number is (218) 485-2020.

What is Leah Pederson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Leah Pederson enrolled in Medicare?

Yes. Leah Pederson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leah Pederson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leah Pederson reassigns Medicare benefits to Therapy Partners, Inc. (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leah Pederson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leah Pederson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.